06090156 CITY OF CUPERTINO '+' 'a*O rJN x* *a'>=r'a 'n
BUILDING DIVISION PERMIT KeCO1�TRACTQRI1VF0 �•—ATIN',
BUILD INC ADDRESS: RADER� ROOFING PeaMrrN0 06090156
41 BETLIN AV
O W NER'S NAME PERMrr MUE DATE
SALVEMINI MAURO AND SUMI 3463 FOWLE
E: SANITARY NO, CONTROL NO.
(408) 249-3538
ARCHTIECVENGINEFA BUILDING PERMIT(NFO
BLDG ERCT PLUMB MECH
0 0
3Oo LICENSED CONrnk RS DECLARATION - Job DeSCfIpUOn
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W murome,merc- _ y REMOVE 1 LAYER COMP . SHINGLES . INSTALL3O YEAR
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�y ARCHITECTS DECLAR TI N
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1 bctehy,fRrm met 1 w eraopl rmm Nc Con., .Neon Iry r«the
00 folltm,t .(Sauw 7M M,Bu"n ua Pmfatlom Code:Any city or mumy (J
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ImC33100
DueCOMPENSATION DECEULAT10N
embby ORNm.4r penalty a Keayrx a Nefollo.int u 'Mde"I h,w,ndw munui.tCcNf t,a Cement tovIf-i—furWitt sC—M-
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a dtc LAbar Code.f«We Mfom of the wortfar wbid Oir pumh uy wote sC«npem tt Nvnrl¢arta vd Pa1icy nombvure ftty Na:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
rfhu semiu Ilred wt bc.pk"Ithe pctmll H f«mc bud6nd m1l,m(310%
cre )
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cm y'P n,ny m,ntcrmumye�om�iYb t atm' ttuo.
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App
NOTICE TO APPLICANT:If.iMcr mW,dd,Cmrwe a E,t.ptioo.yes a td
become wbj=to the Wartclt comp:m,tion Prov not,of the tub«cmc you mut,
.J O fo,tbma..Ply.itb web panus n a NU Permit O01 mdremm le.Nked.
z� CONSIRUCr1ON LENDING AGENCY
I b mby affirm Wt there u a=N oc Rolm atcoc,fa lm lerfarmuceor
ly' 7 ou work for which thu pemtit It i1, (Ser.Jrm,Civ.C.)
,Z L.def,Addmu
U 0 1 a ify Jut I lb v lad Thu applic ..m sure thuo the.bow inf..i.
U. F ..cl-I tigm w comply w ffi all city and county,o liuocts,m,we uws mluia[to
CD budding corulrucl,m.W hcmby autholim tcpctnuli.cs or Nit city to cow upon ibc
r OW. .hove-mcnlluncd poperty for INpccuon puriwrc,.
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atm[ruain[or thu PrmlL
APP NT UNDERSTANDS AND WILL COMPLY WITH ALL NO Issued by: Date _
5 R ecULA,
Si[nwrtof ApplioWCoouacta e �� Re-roofs
HAUfIDOUS MATERIALS DISCLOSURE Type of Roof
esu ft Wiau«fouue Euilalnt«cmA.nlmte«hutdu bauraom maren,l
u denim by oe CupeNw Muvf6 Cod,C ot,w 9.I2,rm ft"e.IN r Salcly
code,SCNm 33532(.)7 �,flo/ All roofs shall be inspected prior to any roofing material being installed.
❑Yu
Will Ihc,IRlictat or rut.micims umvp,m„e equlPnml a d wbieh If a roof is installed without first obtaining an inspection,I agree to remove
.mit huuaom Or mnumbunu ekf by dm Bay Mn Air Qu Uy Munprmea all new materials for inspection.
Oiurin7
❑ry
I hew mrd dic hLurdcw mt1cruu yuimmcmt ookrCbtp 6.95 orlhc Celifor
maFiry &S,IttYGmc,Sd-dan 2530bi my o,mrtmNli1Wcloryft uplo f t
dM CIRCNy hew,leM1L IL.I it{{my largl{Slklity b tldlfy dC 0.eupN1 Of NC
whiehmat,ee ipq tot,wIIRaorIctt ,.ofSignature of Applicant Date
rfn� ' /1" d/�h All roof coverings to be Class "B"or better
OWoX a wtb&'N,tent Dam
CITY OF CUPERTINO
• 1 of 1 PERMIT RECEIPT OPERATOR: kiersaw
COPY # 3
Sec: Twp: Rng: Sub: Blk: Lot:
'APN . . . . . . . . : 36927022 .00
DATE ISSUED. . . . . . . : 09/20/2006
RECEIPT #. . . . . . . . . : 36126
REFERENCE ID # . . . : 06090156
SITE ADDRESS . . . . . : 843 BETLIN AV
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : SALVEMINI MAURO AND SUMI
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4546
RECEIVED FROM . . . . : RADER ROOFING
CONTRACTOR . . . . . . . : RADER ROOFING LIC # 22298
COMPANY . . . . . . . . . . : RADER ROOFING
ADDRESS . . . . . . . . . . : 3463 FOWLER AVE
CITY/STATE/ZIP . . . : SANTA CLARA, CA 95051
TELEPHONE . . . . . . . . : (408)249-3538
OE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
______ ------------- ---------- ---------- ---------- ---------- ----------
BPERMFEE VALUATION 6, 000.00 126.36 0.00 126.36 0.00
BSEISMICRE VALUATION 6, 000.00 0.60 0.00 0.60 0.00
BUSLIC FLAT RATE 1.00 105.00 0.00 105.00 0.00
TOTAL PERMIT 231.96 0.00 231.96 0.00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
CHECK 231.96 2849
TOTAL RECEIPT 231.96
•
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
Telephone: (408)777-3228
Fax: (408)777-3333
Building Department
Subject: Re-roofing policy for the City of Cupertino
1. Prior to permit issuance,you must agree to comply with 1997 UBC Standards
and manufacturers specifications on re-roofing.
2. New roof coverings shall not be applied without first obtaining all inspection
and written approval from the building inspector. A final inspection and
approval shall be obtained from the building inspector when the re-roofing
is completed.
3. All roofs shall be inspected prior to any roofing installation.
4. To receive a final sign off from the City, the following steps are
required:
1) Pre-inspection and/or tear off approval.
2) In-progress inspection approval.
3) Final inspection approval.
a) Spark arrester installation.
5. If plywood is installed, a plywood nail inspection is required.
' 6. Any roofing which is applied without first obtaining an inspection,
will require the removal of all new material down to the sheathing,
so a proper City inspection can be performed.
7. NOTE: If you call for a plywood nail inspection and the job is not ready,
you will be charged a re-inspection fee of$176.18. The re-inspection fee must
be paid before another insRection can be scheduled.
IMPORTANT:
1. Flat roofs must have a minimum of 1/4" per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply with the above stated policy on re-roofing.
Homeowner's Name: �A-W R�7—b > P Li L/f,
P-L N f
Job Site Address:
Roofing Company Name: {4 D J,-oL— 6 t N
Applicant's Signature: /Date: Z1 d` 6 L
• Greg Casteel
Building Official
Revised 11/2/04
. I
Q1v0�101 M
CITY OF CUPERTINO
' REROOF
City W
CUPEkTINO PERMIT APPLICATION FORM
APN# Date:
Building Address:
Owner's Name: Phone#:
n a 5 ,1L-VLM 1A1 I ta5 3
Conkctor. ^ O ` N License#: / ` 3
Contact: (Lo Cupertino Business License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof O $uilrUp roof
O Asphalt Shingles Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Num r of existing coverings ❑ Provide I.C.B.O. Report#
To be Removed ❑ Provide Mfgr.Installation Specs.
' I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy:
Job Description:
{IKOVL °0 h. 11&)
Residential Commercial ❑
C
Fire Zone: Yes ❑ No Confirmed with Planning De t. if
there are any restrictions:
Cost of Project: Type of Construction: Occupancy gro}10
ip:
Qty. if
Applicable Fee ID Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILDING
BENERGY Energy BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCHK Plan Check Fee BUILDING
BUSLIC Business License BUILDING